Active NPI
Patricia Jo Kearney, P.T.
- Physical Therapist
- Lubbock, TX
National Provider Identifier
1780677658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1060
- Practice address
- 4410 50TH St.
Lubbock, TX 79414 - Phone
- (575) 206-6597
- Fax
- (866) 927-9655
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1060 | NM | Primary |
Addresses
Primary practice location
4410 50TH St.
Lubbock, TX 79414
Mailing address
6901 Elkridge Ave
Lubbock, TX 79413
Phone (575) 206-6597
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM00Q018 | Other | NM | BLUE CROSS BLUE SHIELD |
| 79286 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1780677658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 ELKRIDGE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79413",
"telephone_number": "575-206-6597",
"fax_number": "866-927-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 50TH ST.",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79414",
"telephone_number": "575-206-6597",
"fax_number": "866-927-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "PATRICIA",
"middle_name": "JO",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "1060",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM00Q018",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79286",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.